A lower thoracic advancement flap in breast reconstruction after mastectomy.

A lower thoracic advancement flap for use in postmastectomy breast reconstruction is described that allows modest supplementation of prethoracic skin coverage and creation of a stable, well-defined inframammary fold. Advantages include good match of skin color and texture, confinement of donor-site scarring to the relatively inconspicuous inframammary fold area, a more natural ptotic breast shape, and relative ease of performance.